Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | C1-0024350 | DE |
N | 111NI0900X | Internist | C1-0024350 | DE |
Y | 207RR0500X | Rheumatology | C1-0024350 | DE |
NPI | 1003270414 |
---|---|
Provider Name | Dr. Shady Abdelbaki |
First Address | Wilmington, DE 19801-1013 |
Second Address | Wilmington, DE 19801-1013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2016 |
Last Update Date | 29/07/2021 |